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NPI Code Detail

MEDICARE: S BURTON PT

MEDICARE: S BURTON PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305205526VA

General Provider Information

NPI Number : 1649698242
Entity Type Code : Individual
Provider Name (Legal Business Name) : S BURTON PT
Provider Business Mailing Address
First Line : 12001 IRON BRIDGE RD
Second Line :
City : CHESTER
State : VA
Zip : 23831-1460
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12001 IRON BRIDGE RD
Second Line :
City : CHESTER
State : VA
Zip : 23831-1460
Country : US
Telephone Number : 804-706-1024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2014
Last Update Date : 02/10/2015

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Directions to “ S BURTON PT” Practice Location

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